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Surgical thrombectomy and simultaneous stenting for deep venous thrombosis caused by iliac vein compression syndrome

Kimihiro Igari1, Toshifumi Kudo, Takahiro Toyofuku

  • 1Division of Vascular and Endovascular Surgery, Department of Surgery, Tokyo Medical and Dental University, Tokyo, Japan.

Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia
|November 29, 2013
PubMed

Insights

Surgical thrombectomy with stenting effectively treats deep venous thrombosis (DVT) caused by May-Thurner syndrome (MTS), restoring venous patency and relieving acute symptoms in patients with iliofemoral DVT.

Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Cardiovascular Medicine

Background:

  • May-Thurner syndrome (MTS) involves left iliac vein compression by the right common iliac artery, increasing deep venous thrombosis (DVT) risk.
  • Acute iliofemoral DVT presents a significant clinical challenge requiring effective treatment strategies.

Purpose of the Study:

  • To evaluate the outcomes of surgical thrombectomy combined with simultaneous stenting for treating DVT secondary to MTS.
  • To assess the efficacy and safety of this combined approach in restoring venous flow.

Main Methods:

  • A cohort of 8 patients with acute iliofemoral DVT and diagnosed MTS underwent surgical thrombectomy and stenting.
  • Follow-up included duplex sonography to assess stent patency over a mean period of 16 months.

Main Results:

  • The procedure achieved successful re-canalisation of iliofemoral veins in all patients.
  • No perioperative mortality or pulmonary embolism occurred; 2 patients experienced early rethrombosis.
  • Six out of eight patients maintained patent stents during the follow-up period.

Conclusions:

  • Venous thrombectomy with simultaneous stenting is a potent treatment for acute iliofemoral DVT caused by MTS.
  • This technique effectively restores venous patency and alleviates acute symptoms associated with MTS-related DVT.
Abstract

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